Provider Demographics
NPI:1689614232
Name:MURPHY BUSCHKOETTER, KATHY L (APRN)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:L
Last Name:MURPHY BUSCHKOETTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:NE
Mailing Address - Zip Code:68939-0315
Mailing Address - Country:US
Mailing Address - Phone:308-425-6221
Mailing Address - Fax:308-425-3164
Practice Address - Street 1:121 15TH AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:NE
Practice Address - Zip Code:68939-1043
Practice Address - Country:US
Practice Address - Phone:308-425-6221
Practice Address - Fax:308-425-3164
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2019-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE47600743621Medicaid
NE47600743623Medicaid
NE47600743612Medicaid
NE47600743622Medicaid
NE47600743612Medicaid
NE47600743623Medicaid